HomeMy WebLinkAbout03-30-09 (2)REV-1500 Ex(os-o5) 15056041158
PA Department of Revenue OFFICIAL USE ONLY
Bureau of Individual Taxes County Code Year File Number
PO BOX 280601 INHERITANCE TAX RETURN 21 D7 0591
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
Date of Birth
211-22-6841 05202007 03131929
Decedent's Last Name Suffix Decedent's First Name
GETZ MI
DORIS M
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name
MI
Spouse's Social Security Number
- - THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE BOXES BELOW
1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return (date of death
^
4. Limited Estate
6
D
^ 4a. prior to 12-13-82)
Future Interest Compromise (date of ^ 5. Federal Estate Tax Return Required
death after 12-12-82)
.
ecedent Died Testate
(Attach Copy of Will)
^ 7.
^ Decedent Maintained a Livin Trust
(Attach Copy of Trust) g ~'- $~ Total Number of Safe Deposit Boxes
9. litigation Proceeds Received ^ 10. Spousal Poverty Credit (date of death ^ 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95)
(Attach Sch. O)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name
Daytime Telephone Number
RICHARD C• SNELBAKER, ESQU IRE 717-697-8528
Firm Name (If Applicable)
SNELBAKER & BRENNEMAN, P.C•
First line of address
44 WEST MAIN STREET
Second line of address
City or Post Office
MECHANICSBURG
Correspondent's a-mail address
State ZIP Code
PA 17055
REGISTER OF WILLS US~ILY
n c_-,
77
_ i
~ 7 _
i;i_ ~ =i:~
J
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~_
-T$ FILED :.3 ~ . '
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Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIG TORE OF PERSON RESPONSIBLE FOR FILING RETURN DATE
ADDR SS
CYNTHIA L• LYONS, EXECUTRICE PAMELA M- MART EXECUTRICE
SIGNATU F P R OTHER THAN REPRESENTATIVE D~TE
nnno~ec -~/d' / C
RICHARD C- SNELBAKER, ESQUIRE 44 WEST MAIN ST., MECHANICSBURG,PA
PLEASE USE ORIGINAL FORM ONLY
15056041158
Side 1
6M4647 3.000
15056041158
J \
N
~~~
J 15056042159
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: 211- 2 2- 6 8 4 ],
RECAPITULATION
1. Real estate (Schedule A) .
.1.
2. Stocks and Bonds (Schedule B) . .
.2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . 3.
4. Mortgages & Notes Receivable (Schedule D). .
.4.
5. Cash, Bank Deposits 8 Miscellaneous Personal Property (Schedule E) . 5.
6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested g.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) ~ Separate Billing Requested 7.
8. Total Gross Assets (total Lines 1-7). .
. 8.
9. Funeral Expenses ~ Administrative Costs (Schedule H) . .
.9.
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I).
.
10.
11. Total Deductions (total Lines 9 & 10) .
.
.
11.
12. Net Value of Estate (Line 8 minus Line 11)
13. .
.
Charitable and Governmental Bequests/Sec 9113 T
12.
rusts for which
an election to tax has not been made (Schedule J) .
.
•
13.
14. Net Value Subject to Tax (Line 12 minus Line 13)
.
•
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPL
14.
15. ICABLE RATES
Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .0~
16. ~ , ~ 0
Amount of Line 14 taxable 15.
at lineal rate x
04..5
17. .
14 5 6 5 ], • 4 9
Amount of Line 14 taxable 1 s.
at sibling rate X .12
18. D • D D
Amount of Line 14 taxable 17.
at collateral rate X .15 D , ~ D 18.
19. TAX DUE
.
.
19.
20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
15D56042159
Side 2
6M4648 2.000
15D56042159
154900.00
0.00
o.oo
o.oo
7116.08
0.00
15838.38
31856.06
346.91
32202.97
145651.49
0.00
.~u~y • Z
o.oD
6554.32
0.00
0.00
6554.32
J
REV-1500 EX Page 3
Decedent's Complete Oririracc•
File Number
ncai
DECEDENTS NAME
GETZ DORIS M
STREET ADDRESS
CUMBERLAND COUNTY
CITY STATE ZIP
MECHANICSBURG
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit ~ , 0 0
B. Prior Payments ~ • ~ Q
C. Discount ~ • 0 ~
3. Interest/Penalty if applicable
D. Interest ~ , ~ ~
E. Penalty ~ , Q ~
(1> 6554.32
Total Credits (A + B + ~) (2) Q . ~ 0
Total Interest/Penalty (D + E) (3) Q O o
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in box on Page 2, Line 20 to request a refund. (4) a • Q O
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 6 5 5 4 • 3 2
A. Enter the interest on the tax due.
(5A) ~ • ~ Q
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (56) 6 5 5 4 • 3 2
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred; _ ^
b. retain the right to designate who shall use the property transferred or its income; ^
c. retain a reversionary interest; or ^
d. receive the promise for life of either payments, benefits or care? ^
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? . X
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ^
4. Did decedent own an Individual Retirement Account, annuity
or other non-probate pro
ert
which
,
p
y
contains a beneficiary designation? ^
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is three (3) percent [72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent
[72 P.S. 9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for use of a natural parent, an
adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §9116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in
72 P.S. ij9116(1.2) [72 P.S. §9116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. £9116(a)(1.3)j. A sibling is defined,
under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
6M4671 1.000
REV-1502 EX+(6_gg) SCHEDULE A
COMMONWEALTH OF PENNSYLVANIA REAL ESTATE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
tSIATE OF FILE NUMBER
Doris M. Getz 21 07 0591
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be
exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real property which is jointlyowned with right of survivorship must he Aisrtnsad ~n c~tio,~~~re G
swasss t.ooo (n more space is needed, insert additional sheets of the same size)
A. Settlement Statement
<~
LLS. Department of Housing
and Urnen Development n/:,1,
8. Type of Loan OMB No. 2602.0265
t. Q FHq 2. Q FmNA 3. Q Conv. Unlna Fke Number Loan Number
FA 290 Mortgage Inaurenca Case Number
CASH
4. VA 5. Q Conv. ins.
C, N07'E:This form ig famished to give yQu a statement of actual settlement cats. Amounts
Items marked "p.o.c" were paid outside of dosing; they are shown here for informatbnaltotand by the settlement agent are shown.
D: NAME AND ADDRESS OF80RROWHR::Art eia p ~®es and are not included in the totals.:
G Roberts Si:hufb4eo
389 N 21a1t Street Camp Hlli, PA 1701 f
E. NAME AND ADDRESS OF SELLER: 13stete ofDoNs M. Getz
514 erlghfon Place, Mechanicsbm~ PA 17015
F. NAME AND ADDRESS OF LENDER:
G. PROPERTY 514 Brighton Place
LOCATION: Mechanicsburg, PA 17015
H. SETTLEMENT AGENT: Fenstarmacher &.Asaocfates
PLACE OF'SET7I.EMENfF; 1115 F.A~f Trind/e Rati:Mechanlcabuig, PA.17050
TIN:- Y3,11018:11
_..
I. SETTLEMENT DATE: 02A11/Y009
1 ~, RESCISSION DATE;
103_ Setllamenta'glelgea to.bonovrer:
104.
105.
ADJUSTMENTS FOR ITEMS PAID BY SELLER iN ADVANCE:
108: Cky/town taxes ~ to
107. County Taxes ~
108. Aasaeamente 02/25/2b09 fo 07/0112009
109. Sei-et' Fear 02/25/09 - 03/31/09
110..Asareasalent Fee .02/25/09-02/28/09
t 11.
112.
120 GROSS AMO
403.
$3,014,77
UNT DUE FROM BORROWER: $158,549.99
200: AMOUNTS!PAID.BX,ORlN BEHALF.OF.SORRr1Wga•
201. Dapoak or earnest money
202 Principal amount of new loan(s)
203. Existing loan(ey taken auD)ect to
204.
205.
207.
aoe.
2os.
ADJUSTMENTS FOR ITEMS UNPAID BY SELLER:
210. CityJtown taxes to
21 L County texas 01/02/2009 to 02/25/200
212 Assessments to
213.
214.
215.
216.
217.
218.
219.
20. TOTAL PAID 8Y/FOR
BORROWER:
~~
61,obo.aa
61, 077. B4
301. Grose amount due from borrower (line 120)
302. Less amount paid byffor borrower (Ilrte-220) 6isB, 549.95
303. CASH 52.077. d4
( ®FROM) (~ TO) BORROWER: 6157, 472.15
ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE:
`408. CltyRovm Taxes to
407. County Taxes to
408. Asaeasmenta 02/25/2009 to 07/OI/2009
ao9. Sewer Fees 02/25/09 - 03/31/09 5574.04
410. dseeseraent F®e 02/25/09-02/28/09 $44.04
411. $17.14
4t2.
t20. GROSS AMOUNT DUE TO SELLER• 1 $155 535 22
>OD..REDUCTIONS IN AMOUNT DUE TO SELLER;
495.00
ADJUSTMENTS FDR ITEMS UNPAID BY SELLER:
510. Cltyltown taxes ip
511. County texas 01/01/2009 to 02/25/2009
612. ABae6amenfe t0
519.
518,
b19.
0. TOTAL REDUCTIONS
IN AMOUNT DUE TO SELLER:
cross amount due to seller (line 420)
Lees reductions in amt due seller (line 520)
CASH ( FROM
(®TO) SELLER:
HUD-1 (3-86) - RESPA, HB 4305.2
677. B4
$11,572.80
$11, 572. 84
$149,962.38
PAGE 1
HUDd (Nev. 3rgg)
~.
SETTLEMENT CHARGES °"'B "°• 2802~ss
700. TOTAL SALESlBROKER'S COMMISSION
sASeD oN PR1CE $154, 900.00 PAID FROM
~ 655 = $9, 294.00 PAID FROM
DNlSION OF COMMISSION (LINE 700) AS FOLLOWS; BORROWER'S SELLER'S
~Dt. S4 622, 00 FUNDS FUNDS
702. 8d 672.00 to ~~~ Ba"kar BBlaet Pro.E~saioaale AT AT
to ~~~ xaal lssoaietra SETTLEMENT
~ $0.00 ~ SETTLEMENT
7D6. Commiplon ww.e wrr~.....
I have carefully reviewed the HU0.1 9atfierttem Steterrterd and to the bast of my knowledge end belief, % is a tore and eceurete ahatenynt of ell receipts and dlaburaementa$made495. 00
on my aecoun~ by ma In this trans ctlort. I further certlty that l have received a rropy of the HUD-1 Settleme7nt State,mndent /,/~// ~~~,,L
Borrower. ~ Seller or ~La~' r~CQ ~ ~ 1~~:~`--
Angela oberts Schuibbeo °ate~`~"`~ ~- Agent: -
Estate of Doris M. Getz Date:
Borrower. Geller or ~ !/`~ ~Z~~/
Date: Agent: q
i Date: ~U
The HUD~1 t3etcamant Statement which I nave properetl la a true antl accurate accrount of this transaction. I have r will , ~ e funds to ba tllabursed in axardence
with this statement.
Date: Setllenrent Ag ~ ..
Jo n R. Fenstermacher Dete:
WARNING: It b e come to Imowingty malts (else etatemente to the Unltetl Steles on this or any outer sim0 form. penaNlea u
ment. For details see: TIBe 18 U.S. Cade eectlon 1001 and SecWn 5010. Port ~'~ can Include a fine and imprison-
REV-1508 EX + (8-98)
SCHEDULE E
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS
~ MISC
INHERITANCE TAX RETURN
RESIDENT DECEDENT ,
.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
Doris M. Getz 21 07 0591
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property joinUyowned with the right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER VALUE AT DATE
DESCRIPTION OF DEATH
1 Automobile 1,300.00
1996 Chevrolet Corsica valued using Kelly Blue Book
2 Cash
26.05
found in safe deposit box consisting of:
2- $2.00 bills
10 - $1.00 silver dollars
5 - $1.00 Susan Anthony dollars
13 - $.50 half dollar coins and $.55 cents in
miscellaneous coins
3 Erie Insurance 108.00
refund unused insurance premium
4 Household goods 1,993.50
sold at public auction
5 Magazine subscription refunds 63.71
6 Medicare
173.86
refund due the decedent
7 PERSA Retirement
1,723.92
benefits due the decedent
8 PNC Bank, N.A. 1,727.04
Certificate of Deposit, account #31900213376
TOTAL (Also enter on line 5 Recapitulation) $ ~ 7 , 116 08
3wasno t.ooo (If more space is needed, insert additional sheets of the same size)
REV-151 D EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
is i,ai t OF FILE NUMBER
Doris M. Getz 21 07 0591
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM
NUMBS DESCRIPTION OF PROPERTY
IMCLIDETFEWNAEOFTFETRANSFEREE,THEIRRELATIONSHIPTODECEDEMMID
TFEDATEOFTRMlSFERATTMkiACOPYOFTHEDEEDFORREALESTATE.
DATE OF DEATH
VALUE OF ASSET
%OFDECD'S
INTEREST
EXCLUSION
IF APPLICABLE
TAXABLE
VALUE
1 PNC Bank, N.A. 20,063.99 100.0000 6,000.00 14,063.99
Savings, account #5004714994
opened 3/21/2007 jointly with
Pamela Martz and Cynthia Lyons
2 PNC Bank, N.A. 1,774.39 100.0000 0.00 1,774.39
Checking, account #5070079802
opened 3/21/2007 jointly with
Pamela Martz and Cynthia Lyons
TOTAL (Also enter on line 7, Recapitulation) $
15 838 38
(If more space is needed, insert additional sheets of the same size)
3W46AF 1.000
REV-1511 EX+(10.06)
SCHEDULE H
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES 8
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Doris M. Getz 21 07 0591
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
~ Malpezzi Funeral Home
funeral services 11,553.98
Total from continuation schedules I 520.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. Attorney Fees Snelbaker & Brenneman , P . C .
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
1 Brighton Place Condominium
association fees
2 Chuck Bricker
appraisal fee
Total from continuation schedules .
3,000.00
306.00
460.00
214.00
80.00
15,722.08
TOTAL (Also enter on line 9 Recapitulation) ~ $ 31 , 856 06
~wasnc i o00 (If more space is needed, insert additional sheets of the same size)
Estate of: Doris M. Getz
Schedule H Part 1 (Page 2)
Item
No. Description
2 Rothermell's Florist
flowers
3 Shepherdstown United Methodist Church
funeral luncheon
Total (Carry forward to main schedule)
211-22-6841
Amount
300.00
220.00
520.00
Estate of: Doris M. Getz 211-22-6841
Schedule H Part 7 (Page 2)
3 Comcast
cable TV service 10.50
4 Cumberland Law Journal
Advertising Executrices' Notice 75.00
5 Marilyn Yohn, Tax Collector
real estate taxes 1,682.18
6 Patriot News
advertising Executrices' Notice 168.05
7 Register of Wills
filing fee for Inheritance Tax Return 15.00
8 Rode's Auction
commission on sale of household goods. 698.50
9 Settlement charges
as follows:
a. Realtors Commission - $9,294.00
b. Document preparation - $125.00
c. Notary fees - $15.00
d. Transfer tax - $1,549.00
e. Tax certification - $5.00
f. Transaction fee - $395.00
g. Adjustment for sewer fees - $112.00
h. County taxes - $77.84 11,572.84
10 Reserve
for filing fees, accounting fees and other
miscellaneous costs associated with the
administration of Decedent's Estate 1,500.00
Total (Carry forward to main schedule) 15,722.08
REV-1512 EX + (12-03)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULEI
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, 8~ LIENS
is i q i t yr FILE NUMBER
Doris M. Getz 21 07 0591
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
3wasaH 2.000 (ir more space is needed, insert additional sheets of the same size)
REV-1513 EX+ (9-00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
I
1
2
SCHEDULE J
BENEFICIARIES
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers
under Sec. 9116 (a) (1.2))
Cynthia L. Lyons
9 Cedar Road
Mechanicsburg, PA 17055
PNC Bank, N.A.
Inventory Value: 7,032.00
PNC Bank, N.A.
Inventory Value: 887.20
One Quarter of Residue: 32,453.28
Jill A. Harlacher
2895 Sunset Lane
York, PA 17408
One Quarter of Residue: 32,453.28
FILE NUMBER
21 07 0591
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
Do Not List Trustee(s) OF ESTATE
Daughter
Daughter
40,372.47
32,453.28
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II INON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
swasAi ~ o00 (If more space is needed, insert additional sheets of the same size)
0.00
Estate of: Doris M. Getz
Schedule J Part 1 (Page 2)
Item
No. Description
3 Pamela M. Martz
2206 Spring Run Drive
Mechanicsburg, PA 17055
PNC Bank, N.A.
Inventory Value: 7,032.00
PNC Bank, N.A.
Inventory Value: 887.20
One Quarter of Residue: 32,453.28
4 Sarah E. Dillinger
7528 Route #82
Pine Plains, NY 12567
One Quarter of Residue: 32,453.28
Relation
Daughter
Daughter
211-22-6841
Amount
40,372.47
32,453.28
LAST WILL AND TESTAMENT
I, DORIS M. GETZ, of the Township of Upper Allen, County of Cumberland, and
Commonwealth of Pennsylvania, being of sound and disposing mind, memory and
understanding, do make, publish and declare this as and for my Last Will and Testament, hereby
(revoking and making void all former wills and codicils by me at anytime heretofore made.
FIRST. I order and direct that all my just debts and funeral expenses be paid by my
Executrices, hereinafter named, as soon as conveniently may be done after my decease.
SECOND. I give, devise and bequeath all the rest, residue and remainder of my Estate,
real, personal and mixed, whatsoever and wheresoever situated, in equal shares unto my four (4)
daughters, namely, SARA E. DILLiNGER, CYNTHIA L. LYONS, PAMELA M. MARTZ and
JILL A. HARLACHER, share and share alike, absolutely and in fee simple.
If any of my children above should predecease me and leave lawful issue to
survive me, I order and direct that the foregoing share attributable to such deceased beneficiary
shall be distributed unto her issue per stirpes by representation and not per capita.
LASTLY. I nominate, constitute and appoint my, two (2) daughters, namely, CYNTHIA
L. LYONS and PAMELA M. MARTZ, to be the Executrices of this, my Last Will and
Testament, each and both to serve without bond or other security as a condition of qualification.
IN WITNESS WHEREOF, I, DORIS M. GETZ, have hereunto set my hand and
seal to this my Last Will and Testament, which consists of two (2) typewritten pages to each of
which I have affixed my signature this 11th day of May, A.D., Two Thousand Seven (2007).
(SEAL)
DORIS M. GETZ
LA`/V OFFICES
SNELBAKER &
BRENNEMAN, P.C.
The preceding instrument, consisting of this and one (1) other typewritten page, each
identified by the signature of the Testatrix, was on the date thereof signed, sealed, published and
declared by DORIS M. GETZ, the Testatrix therein named, as and for her Last Will and
Testament, in the presence of us, who, at her request, in her presence and in the presence of each
other, have subscribed our names as witnesses heret .
,~ ~~-s'--x..,~..
6
COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF CUMBERLAND
SS.
We, DORIS M. GETZ, RICHARD C. SNELBAKER arid JANE J. GOONEY, the
Testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing
instrument, being first duly sworn, do hereby declare to the undersigned authority that the
Testatrix signed and executed the instrument as her Last Will and Testament and that she had
signed willingly, and that she executed it as her free and voluntary act for the purposes therein
expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the
Will as a witness and that to the best of his or her knowledge, the Testatrix was at that time
eighteen years of age or older, of sound mind and under no constraint or undue influence.
~'''."' S+n' 'mob
Testatrix
Witness
' ness
Subscribed, sworn to and acknowledged before me by DORIS M. GETZ, the Testatrix,
and subscribed and sworn to before me by R1C7IARD C. SNELBAKER and JANE J. GOONEY,
the witnesses, this 1 lth day of May, 2007.
COMMONW~AI.TH OF PENNSYLVAPJIA
~K
N~arial Se~al,-~n'
LAW OFFICES Sandra tC. ~~ "`^°'J ~~C
Nlechanicstw~g Boro, Cumberland County
SNELBAI<ER & \6. ~I~~OT1 ~~~ Nov. ~~ 2007 _~_
BRENNEMAN, P.C. M®n1~~flP#fIC10yIV{~fYI9 A~mp~l~t~4r! l~ t~~tgrl~~
Notary Public